Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 100.4

Record Layout for Competitive Bidding Contract Supplier File

Last amended: 2010Year: 2010Length: 273 wordsOfficial source
100.4 - Record Layout for Competitive Bidding Contract Supplier File (Rev. 2088, Issued: 11-05-10, Effective: 01-01-11, Implementation: 01-03-11) Field Name Pic Position Comment Supplier NSC Number X(10) 1 - 10 Supplier NPI Number X(10) 11 - 20 Field Name Pic Position Comment CBA Area X(5) 21 - 25 16740 = Charlotte NC-SC 16741 = Charlotte NC-SC Mail Order 17140 = Cincinnati OH 17141 = Cincinnati OH Mail Order 17460 = Cleveland OH 17461 = Cleveland OH Mail Order 19100 = Dallas TX 19101 = Dallas TX Mail Order 28140 = Kansas MO-KS 28141 = Kansas MO- KS Mail Order 33100 = Miami FL 33101 = Miami FL Mail Order 36740 = Orlando FL 36741 = Orlando FL Mail Order 38300 = Pittsburgh PA 38301 = Pittsburgh PA Mail Order 40140 = Riverside CA 40141 = Riverside CA Mail Order Bid Effective Date X(8) 26 - 33 Bid Effective Date- CC 9(2) 26 - 27 Bid Effective Date- Year 9(2) 28 - 29 Bid Effective Date - Month 9(2) 30 - 31 Bid Effective Date- Day 9(2) 32 - 33 Bid Expiration Date X(8) 34 - 41 Bid Expiration Date - CC 9(2) 34 - 35 Field Name Pic Position Comment Bid Expiration Date - Year 9(2) 36 - 37 Bid Expiration Date- Month 9(2) 38 - 39 Bid Expiration Date - Day 9(2) 40 - 41 Bid Switches Occurs 500 Times X(500) 42-541 The switch occurrence equates to the 500 Times Bid category; i.e., Bid Switch (1) denotes the supplier contract for category 001 Bid Switch (1) X(1) 42 - 42 Bid Switch (2) X(1) 43 - 43 Filler X(59) 542 - 600
Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 100.4: Record Layout for Competitive Bidding Contract Supplier File | Justis AI